Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 2019034037 | MO |
Y | 208600000X | Surgeon | 2019034037 | MO |
N | 2086S0102X | Surgical Critical Care | 2019034037 | MO |
NPI | 1194139923 |
---|---|
Provider Name | Dr. Thoi Hieu Ngo |
First Address | Saint Louis, MO 63110-1010 |
Second Address | Saint Louis, MO 63110-1003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2014 |
Last Update Date | 15/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200075875 | (05) | MO |